While assessing a client thought to have a factitious disorder, a nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis?
A) "I never felt nurtured or loved when I was growing up."
B) "The only time I felt loved and appreciated was when I made the honor roll at school."
C) "The only time I ever felt loved was when I was sick enough to miss school."
D) "I felt loved and accepted when my father apologized for spanking me so hard."
Ans: C
Individuals who are diagnosed with factitious disorders are thought to have often been abused as children and to have received nurturance only during times of illness. As a result, they try to recreate illness or injury in a desperate attempt to receive love and attention.
You might also like to view...
A client says, "My mom had Alzheimer disease and I am so afraid I am going to get it." Which nurse, if any, could best determine this client's risk and provide direction for care?
1. Any professional nurse 2. A nurse who has worked in an Alzheimer unit 3. A genetic clinical nurse 4. Nurses do not have the skills for this level of intervention.
In discussing mammography with a client, the nurse would include the current recommendation that
a. all females should have a baseline mammogram at menarche. b. all females should have a baseline mammogram when they are 21. c. mammograms should be done semi-annually in women over age 35. d. mammograms should be done yearly in women over age 40.
A patient has been experiencing the clinical manifestations associated with menopause and expresses an interest in using alternative and complementary therapies to manage them. What is the best response by the nurse?
1. "Alternative and complementary therapies seldom work." 2. "Many women report success with those measures." 3. "What types of therapies are of interest to you?" 4. "Have you discussed this with the healthcare provider?"
The physician writes an order for medication to be given every 4 hours p.r.n. How should the nurse administer this drug?
a. every 4 hours around the clock b. every 4 hours if the patient's condition indi-cates a need for it c. as many as four times a day d. every 4 hours if the patient asks for it